Welcome to The BRIDGE, an online network from LMT dedicated exclusively for members of the Dental Laboratory community.
Followers
-
Matt Cushing
Owner/President
-
Gregory Smith responded to Kelly Fessel Carr's article
Thanks Kelly for just reiterating what I already thought was true. Well written article and very interesting...(more)
-
Florentino Barron, CDT · Owner, President
Does anyone know of a facility that is processing partial frames using a scanner and outsourcing the...(more)
The ROI Factor
Hi, Being a reseller of CAD CAM equipment we have found it to be very interesting that many decision makers in dental labs want help figuring out if it's the right time to buy. From a business perspective...
-
Jeff Walker posted about Outsourcing, Zirconia and Scanners
Hi guys. I am tired of shipping out my models to milling centers and waiting for them to return, only...(more)
-
Curt Morgese, CDT responded to Judy Fishman's article
Judy, your article is well written. As the U.S. demand for dental prosthetics increases so will the demand...(more)
-
Maribeth Marsico wrote an article
The majority of respondents to LMT's 2012 Fee Survey are delaying fee increases in the face of price-cutting...(more)
Industry Fees Reflect Sluggish Economic Recovery
Maribeth Marsico · Other · Oct 2012>The majority of respondents to LMT's 2012 Fee Survey are delaying fee increases in the face of price-cutting competition and declining caseloads. With the country in the midst of what analysts are calling the slowest economic recovery since the Great Depression, laboratory owners say they are...
Other Topics
Outsourcing
-
The Future Looks . . .
LMT Communications, Inc. · LMT Surveys · Jun 2012
>Respondents to LMT's Small Lab Survey speak out about the future of our industry. ###The Future Looks . . . Great My business has stayed strong through this terrible economy. If I made it through...See more this, I can make it through anything. My cosmetic workload dropped off a bit during the past couple of years, but has really picked back up as of late. My future looks incredibly solid. As the masses move toward CAD technology, I move in the completely opposite direction. I educate my clients on the shortcomings of this new technology and they're grateful for the insight. I work with dentists who appreciate what I can do for them, they trust my expertise and we love working as a team. The outlook is great. My philosophy has always been keep doing what I am doing. There is a huge demand for removable technicians due to the demand for dentures, partials, etc. I currently have a full workload most of the time; occasionally, a little more than I would prefer. I have been working with my clients for an average of 20 years and we have a good working relationship. I was feeling some pressure to invest in a CAD/CAM system but for the amount of requests I'm getting for those types of restorations, outsourcing is working well for me. I only fabricate dentures. The clients love my work. I see a solid future and possible growth. The demand for my artwork is high and I have been approached to lecture and produce instructional DVDs to be marketed to schools and private practices. There will be more work as more technicians are retiring. Great. I get clients on referrals and I've been doing well. I don't want to get too busy so things are perfect for me right now. The digital laboratory's future is going to be a successful one. We've been scanning for almost five years and we're installing a Roland 5-axis milling machine. Our next step in the digital market will be to incorporate digital printing for models and possibly install a second design station. We've taken these last slower years and invested time and money in technology to be prepared for the future. We're poised for growth. Although I'm "old school" and retiring soon, I think the future for dental technology is bright, marvelous and amazing. Our industry will remain interesting and challenging. I'm busier than I've ever been. I have young doctors and their practices are growing, thus I'm swamped. My business has grown tremendously in the past three years, and I don't see a slowdown soon. I am considering hiring more technicians. ###The Future Looks . . . Grim Outsourcing to China is taking market share. CAD/CAM technology and implant companies are taking profits away from labs. Digital dentistry will eventually kill much of the posterior work. Chairside milling machines will continue to take more work away from labs. Rising costs of materials and equipment, expensive technology and sky-rocketing precious metals are all killing profits. Bleak; my volume is 50% down so far this year. It's getting harder and harder to compete with the large laboratories because dentists are shopping for "cheap" more than I have ever seen in 42 years. Digital technology is going to price the small lab out of business. The machinery needed to keep up is too expensive and outsourcing costs make your profit margin too low to survive. In recent weeks, I've learned about two different CAD companies telling my doctors they will soon be able to bypass "those expensive technicians" and just deal directly with their companies. Many CAD/CAM companies don't seem to be a good match for small labs because of the high costs and learning curve. Large laboratories have a huge advantage here. Not doing very well; may be forced to retire. Not too good! Artistry is no longer valued! It seems that larger laboratories are surviving while small labs are price cutting and having difficulty maintaining a decent profit margin. Offshore labs are destroying our business. In my opinion, these labs should be taxed to compete with the local labs. I can't afford scanners and expensive equipment. I'm sure most other small laboratories would agree we're going to end up with very few large labs and the small to medium labs will be gone--yes, even the high-quality ones. Because entry-level wages are so low, I don't think young men and women will be interested in this field in the future. Competition in NY is fierce; it's 95% price driven. When I go into a new dental office to introduce myself, the first question the doctor asks is, "How much?" Small labs will go the way of the dinosaur. Increased regulations/compliance costs coupled with cheap offshore work that flows into this country unregulated will choke them out. Dentistry is getting more expensive. The supplies are costing more. Labs cannot increase their fees, yet the doctors are charging more to the patients and complain about lab fees. Read the results of the Small Lab Survey here: [The Future of the Small Laboratory: Grim Or Great?](articles/3130)
-
10 Tips For Choosing a CAD/CAM System
David Lesh · Digital Dentistry · Apr 2006
Touted for its accuracy, automation and new material options, CAD/CAM technology is flourishing in the laboratory community. Dave Lesh, president of Dale Dental, offers 10 tips for choosing a CAD/CAM system.
-
CAD/CAM Technology: How to Maximize the Lab-to-Lab Partnership
Kim Molinaro · Digital Dentistry · May 2007
More than 80% of laboratories offer CAD/CAM-fabricated restorations and nearly two-thirds of them outsource the understructures to another laboratory. LMT talks to these laboratory owners about how to...See more get the most predictable, consistent results.
-
How to Buy CAD/CAM Scanners & Milling Systems
Kim Molinaro · Digital Dentistry · May 2008
Nearly 50% of respondents to a recent LMT e-survey say they plan to invest in some type of cad/cam equipment within the next five years. If you're one of them, but are daunted by the options and don't...See more know where to start, LMT's done your homework for
-
The Offshoring Dilemma
Judy Fishman · Industry News · Nov 2011
Reflecting on her recent trip to China, LMT Publisher Judy Fishman discusses the hot button issue of offshore manufacturing.
-
Opinions on Outsourcing?
Topics: Outsourcing
Wondering what everyone's thoughts are on outsourcing in general
-
Should I take on outsourcing work?
An outsource lab calls me up and wants to send me some work...Do I... A) Bring it. Cant say no to money coming in. B) Do it, i'm flattered they thought about using my work and this can help pay...See more some supply costs. C) Do it for a bit and only take the units I want. D) No, My business is built upon quality not price, and my reputation is known for it.This is why my doctors us me and not them. They are my competition and this is only helping them out. They would be selling my art & product and calling it their own. Would Van Gogh let you sell one of his paintings with your name on it and call it his own. E) No, Outsource labs are hurting our industry for the businessman that is trying to make a quality buck on a quality product. By helping them, I am only helping a business that hurts us in the end.
-
Dental Laboratory Outsourcing...Is it Right for Your Lab
ProLab Solutions, Inc. · LAB DAY Chicago 2013
Have you been curious about including outsourcing as a segment of your laboratory business? Jim Erb, CDT, provides you with the facts to make you more comfortable incorporating this financial growth opportunity in your laboratory.
-
The ROI Factor
Hi, Being a reseller of CAD CAM equipment we have found it to be very interesting that many decision makers in dental labs want help figuring out if it's the right time to buy. From a business perspective...See more it's all about return on investment (ROI). So, for the sake of this exercise let's look at the cost of borrowing $10K over 5 years. Based on 21 manufacturing days in a month the $10K turns out to cost about $8.50 per day. So, a $27K scanner will run a little less than $25 per day. That said, if you are outsourcing models and the model base work flow is costing $25 more than just sending a digital file for manufacturing you can logically see that it does not take much work to get to a break even or to become significantly more profitable. In addition, you need to add in the labor to scan and design the cases in your facility. This cost can very widely with efficiency of the individual(s) performing this operation. On the other side of the coin, you gain the savings of the cost of packaging and shipping (in addition to time savings). In reality, these two costs may be close to equal, so, it's a wash. In conclusion, labs outsourcing 20 plus units a month are at the break even point to purchase a scanner and CAD software that is in the cost range of about $27K. In conclusion, one can figure a daily cost of about $8.50 per $10K borrower over 5 years. Hope this post can help some of those in question. Please feel free to add comments. Bob
-
Letters to the Editor: Sold in China
Dear LMT: Why is everything made in China? Here are some possible reasons: 1. People in China work for very little money. 2. The Chinese work ethic is extremely strong. 3. The fundamental cost...See more to manufacture products in the U.S. is much higher than China due to: health insurance for employees, business insurance, minimum wage requirements, taxes, and regulations from OSHA, EPA, FDA, NLRB and countless other government agencies. 4. U.S. trade barriers are much lower than Chinese trade barriers. 5. Chinese currency is artificially deflated by the Chinese government. Despite these possible reasons, there are opportunities for foreign goods to get a foothold in the Chinese market. In general, quality control is a concept that isn't completely understood by many Chinese manufacturers. Most Chinese manufacturers are driven to be the lowest-cost producers. In addition, the Chinese are very adept at making "fake" goods. These two factors result in a general mistrust of Chinese-made goods by ordinary Chinese people, and especially those in the middleclass who can afford higher quality foreign made products. This phenomenon is true in just about all product categories, and especially dental products. For example, the Nobilium division of CMP Industries LLC manufactures the Demco grinder, a relatively simple alloy grinding machine. While many Chinese-made replicas of this machine can be found at dental trade shows in China, Nobilium sells about 1,000 Demco grinders in China each year at a price that's about double the cost of the Chinese- made product. The small difference between the Demco grinder and the Chinese-made counterpart is the quality of a key part--the spindle--that requires some precision machining and ultra-high quality bearings and springs. Another example is Nobilium's line of partial denture alloys and materials. We exhibit at three or four dental trade shows per year in China and offer non-precious alloys made from virgin raw materials. Nobilium's presence at these shows and high quality products gives Chinese dental product consumers a feeling of confidence they're willing to pay for. In the 60s, "Made in Japan" meant low quality. The Japanese fundamentally reformed their thinking by developing quality control systems to engineer quality upfront into each and every process so that the end result was consistent and high quality. William Edwards Deming, a U.S. manufacturing expert, has been credited with starting this remarkable revolution from low to high quality in Japan. If China can reform its approach to quality as did the Japanese, the Chinese people may eventually have more trust in products produced by their fellow countrymen. This may make U.S.-made products less attractive in the Chinese market; however, this will also increase production costs in China. As a result, Chinese-made dental prosthetics will be less competitive in the U.S. market, and then maybe U.S.-based dental laboratories will see a gradual upswing of business. Let's hope this comes true! ~ Devon Howe, President & CEO, Nobilium/Ticonium (CMP Industries LLC), Albany, NY








